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The teenager's mother, Claire Booty, said that she had told Dr Ibbotson that Izzy's school had sent a letter to parents warning them that another pupil in the school had recently been diagnosed with meningitis.

Dr Ibbotson denied this and told the inquest that his diagnosis was right for the information he was presented with.

UHB Trust, which run the BRI, has now pledged to change training for doctors to ensure that they take in to account symptoms as a whole and do not focus on ailment in particular.

Izzy Gentry was preparing for her AS-Level exams when she died

Deputy Medical Director for UHB, Dr Mark Callaway, said: "Our thoughts and deepest condolences are with Isabel's family and friends. Their grief is at the forefront of our minds as we re-examine the steps we have taken to prevent such a missed diagnosis happening again.

"We will carefully consider the recommendations the coroner has made today.

"We now use Isabel's illness as a case study in training for our doctors to show how patients with devastating underlying conditions can have non-specific symptoms that make their illness extremely difficult to diagnose, and how severe illness in adolescents can be masked for a period of time.

"In the light of what we have heard during Isabel's inquest, we gave a commitment to revise training for doctors taking patient histories, to ensure that the bigger diagnostic picture is not obscured by undue weight given to a single symptom.

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"We have a strong safety culture and continually review our practice. We use a safety checklist in the Emergency Department that is being adopted by other hospitals and we have introduced the most up to date system of warning scores.

"Our deep regret is that these measures did not ensure that we took steps to prevent Isabel's illness from developing to the point where it could not be treated. Our commitment is to learn all we can from her very sad death."

At the end of the inquest Ms Vorsin made a series of recommendations UHB.

She said that all cases of suspected meningitis should be reported to Public Health Engand and should be reviewed by a senior doctor before the patient is discharged.

She also recommended that the Trust carries out a fresh root cause analysis investigation and looks at links between the adult and children's A&E for teenagers brought to the hospital with suspected meningitis.